| NPI | 1578845848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007697) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 34572) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2025-10-19 |